Yemen’s cholera outbreak traced to eastern Africa

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Malnourished Ferial Elias, 2, gestures as she is being weighed at a malnutrition treatment ward at al-Thawra hospital in Hodeidah, Yemen November 3, 2018. REUTERS/Abduljabbar Zeyad

LONDON (Reuters) – Scientists have found that a strain of cholera causing an epidemic in Yemen – the worst in recorded history – came from eastern Africa and was probably borne into Yemen by migrants.

Using genomic sequencing techniques, researchers at Britain’s Wellcome Sanger Institute and France’s Institut Pasteur also said they should now be better able to estimate the risk of future cholera outbreaks in regions like Yemen, giving health authorities more time to intervene.

“Knowing how cholera moves globally gives us the opportunity to better prepare for future outbreaks,” said Nick Thomson, a professor at Sanger and the London School of Hygiene and Tropical Medicine who co-led the work.

Nearly four years of war between a Saudi-led coalition and the Iranian-aligned Houthi group have crippled healthcare and sanitation systems in Yemen, where some 1.2 million suspected cholera cases have been reported since 2017, with 2,515 deaths.

To explore the origins of the outbreak, Sanger and Pasteur team sequenced the genomes of cholera bacteria samples collected in Yemen and nearby areas.

They included samples from a Yemeni refugee center on the Saudi Arabia-Yemen border and 74 other cholera samples from South Asia, the Middle East and eastern and central Africa.

The team, whose findings were published in the journal Nature on Wednesday, then compared these sequences to a global collection of more than 1,000 cholera samples and found that the strain causing the Yemen epidemic is related to one first seen in 2012 in South Asia that has spread globally.

The Yemeni strain did not arrive directly from South Asia, but was circulating and causing outbreaks in eastern Africa in 2013-14.

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